ALEXANDRA GRACE BREUHAUS PA-C
NPI 1083153043
Physician Assistant - Medical in Lynnwood, WA

Q: What is Alexandra Breuhaus's NPI number?

The NPI number for Alexandra Breuhaus is 1083153043. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Q: What is Alexandra Breuhaus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment

19020 33RD AVE W STE 210, LYNNWOOD, WA 98036(425) 563-1500(425) 563-1374 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2023, Feb 22, 2017 (2 updates tracked since 2017).

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About Alexandra Grace Breuhaus Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA GRACE BREUHAUS PA-C (NPI 1083153043) is an individual medical provider in Lynnwood, Washington, licensed in Washington (PA61238106) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083153043

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameALEXANDRA GRACE BREUHAUSCredential: PA-C

Location Address19020 33RD AVE W STE 210Lynnwood, WA 98036-4748

Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1374

Phone(425) 563-1500

Fax(425) 563-1374

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 22, 2017

Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1083153043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA61238106

19020 33RD AVE W STE 210, Lynnwood, WA 98036

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Other Identifiers 1

Medicaid2205668WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Grace Breuhaus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395098107

PECOS Enrollment IDI20220427000675

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500005

Location925 Seneca StSeattle, WA 98101 · King County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL LARSON M.D.

Radiology (Vascular & Interventional Radiology)